HomeMy WebLinkAbout2226 Saison St - Disclosures/Insulation - 02/20/2018Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
insd=2 As - 7110198
Job address:
General contractor:
Insulation contractor:
INSTRUCTIONS
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Neighborhood & Building Services
281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Phone: 970 221 6760 FAX. 970 224 6134
This disclosure form is to be signed by the insulation contractor or representative of the general contractor.
Please type or print, except for the signature Complete the information in the appropriate spaces provided
If components vary, make multiple entries to describe them
One copy of this form must be provided to the Building and Zoning Department prior to the C O.
One copy of this form must be made available to the original home buyer.
Insulation
Location
Material(s)
Thickness
Rated
R-value
Location
lnt / ext
Notes
Flat or vaulted ceilings
with attics above
e Fill Fiberalass%
Ceilings with enclosed
rafter cavities
F
HiNe-rolass Batts
-g
Frame walls and rim/band
joists — to exterior
Fiber lass Batts
Closed Cell Foam
Blow -In -Blanket
'
Frame walls and rim/band
joists — to attic, garage
Fiberglass Batts
it
Closed Cell Foam
Blow -In -Blanket
Frame floor - cantilever
Fiber lass Batts
Blow -In -Blanket
91Qh
Frame floor - over garage or
crawl space
Fiberglass Batts
Blow -In -Blanket
9141"
-
Slab -on -grade (0-12")
Crawl space walls
Fiberglass Batts
Vinyl Wrap
_
Basement walls
Fiber lass Batts
Vinyl Wrap
Certification
I/We certify that the above4isted insulation was installed in the building at the above locations in conformance with the current requirements of the
Fort Collins Residential Energy Code, and that it was installed in accordance with the "Insulation Guidelines" published by the City of Fort Collins.
Person Certifying Job: Kevin Miller
Date_ 10
Business Finn: L&L Insulation LLC
Address: 401 North Link Lane Fort Collins CO 80524
Phone: 970-221-3180